Evidence map›Paper›PMID 36344653›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Prognostic factors for the management of chondral defects of the knee and ankle joint: a systematic review.

Filippo Migliorini, Nicola Maffulli, Jörg Eschweiler, Christian Götze, Frank Hildebrand, Marcel Betsch

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Treatment Options for Focal Cartilage Lesions of the Knee.Deutsches Arzteblatt international · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. AMIC achieves sustained clinical improvement in isolated patellar cartilage defects over 5 years, correlating with MRI.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Functional Outcomes of Nuts-in-Jelly Mosaicplasty.Indian journal of orthopaedics · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Filippo MiglioriniDepartment of Orthopaedic, Trauma and Reconstructive Surgery, RWTH University Hospital Aachen, 52074, Aachen, Germany. migliorini.md@gmail.com.ORCID http://orcid.org/0000-0001-7220-1221
Nicola MaffulliDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081, Baronissi, Italy.
Jörg EschweilerDepartment of Orthopaedic, Trauma and Reconstructive Surgery, RWTH University Hospital Aachen, 52074, Aachen, Germany.
Christian GötzeDepartment of Orthopaedics, Auguste-Viktoria-Klinik, 32545, Bad Oeynhausen, Germany.
Frank HildebrandDepartment of Orthopaedic, Trauma and Reconstructive Surgery, RWTH University Hospital Aachen, 52074, Aachen, Germany.
Marcel BetschDepartment of Orthopaedics and Trauma Surgery, University Hospital Erlangen, 91054, Erlangen, Germany.
Universitätsklinikum Aachen · DEAuguste-Viktoria-Klinik · DEOrthopaedic Trauma Association · USUniversitätsklinikum Erlangen · DEUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDifferent surgical techniques to manage cartilage defects are available, including microfracture (MFx), autologous chondrocyte implantation (ACI), osteoarticular auto- or allograft transplantation (OAT), autologous matrix-induced chondrogenesis (AMIC). This study investigated the patient-related prognostic factors on the clinical outcomes of surgically treated knee and ankle cartilage defects.

methodsThis study followed the PRISMA statement. In May 2022, the following databases were accessed: PubMed, Google Scholar, Embase, and Scopus. All the studies investigating the outcomes of surgical management for knee and/or talus chondral defects were accessed. Only studies performing mesenchymal stem cells transplantation, OAT, MFx, ACI, and AMIC were considered. A multiple linear model regression analysis through the Pearson Product-Moment Correlation Coefficient was used.

resultsData from 184 articles (8905 procedures) were retrieved. Female sex showed a positive moderate association with visual analogue scale at last follow-up (P = 0.02). Patient age had a negative association with the American Orthopaedic Foot and Ankle Score (P = 0.04) and Lysholm Knee Scoring Scale (P = 0.03). BMI was strongly associated with graft hypertrophy (P = 0.01). Greater values of VAS at baseline negatively correlate with lower values of Tegner Activity Scale at last follow-up (P < 0.0001).

conclusionThe clinical outcomes were mostly related to the patients' performance status prior surgery. A greater BMI was associated with greater rate of hypertrophy. Female sex and older age evidenced fair influence, while symptom duration prior to the surgical intervention and cartilage defect size evidenced no association with the surgical outcome. Lesion size and symptom duration did not evidence any association with the surgical outcome.

Indexed as

Cartilage, ArticularCartilage DiseasesAnkle JointFemaleHumansHypertrophyKnee JointPrognosisTransplantation, AutologousTreatment OutcomeChondral defectKneePrognostic factorsTalus

Identifiers

PMID36344653
PMCPMC10175423
OpenAlexW4308462604

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.